HomeMy WebLinkAboutX2018-3801 - Permits4rcwr.,q City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII �� COMB Permit: X2018-3801
Per Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 3 8 0 1 Project No : 1505-2018
Permit Counter Phone (949)644-3288
. . s Inspection Requests Phone (949)644-3255
q+sjt„yy a Combination Type - BLDG GRAD Issued Date: 12/1712018
Inspection Area : 7
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday 7.00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m, to 6:00 p.m. No work on Sundays or Holidays
Job Address: 4340 CAMPUS DR NB
Description: COMM SITE WORK AND GRADING
Legal Desc.: N TR 3201 LOT 29
Owner:
4320-4360 LP
Address:
1600 DOVE ST #480
NEWPORT BEACH, CA 92660
Phone:
Applicant:
BETTISON WILLIAM
Address:
333 CITY BLVD WEST, STE 1115
ORANGE, CA 92868
Phone:
657-221-0513
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Building Permit Fee:
Plan Check Fee: $0.00
Overtime Plan Ck:
Investigation Fee:
Record Management:
Energy Compliance:
CA Seismic Safety:
Disabled Access
Hazardous Mat
Building Green Fee:
PROCESSED BY:
Contractor:
VINCERO CONSTRUCTION CO LLC
Address:
16 TECHNOLOGY #156
IRVINE CA 92 618
Phone:
949-278-9143
Con State Lic:
1046231
Lic Expire:
10/31/2020
Bus Lic:
BT30066409
Lic Exp Date:
2016 Worker's Compensation Insurance
Carrier: NO EMPLOYEES
U Policy No:
0 Expire:
Building Setbacks Rear: I
Front: /
Left: I
Right: I
Use Zone: CA Parkina St
$0.00
$0.00
Excise Tax:
$0.00
Additional Fee :
$0.00
$0.00
Grading Bonds Fee:
$0.00
$0.00
Grading PC Consultant:
$0.00
$0.00
Grading Permit Fee:
$1,856.00
$0.00
Grading PC Fee:
$0.00
$0.00
WO Insp. Fee:
$0.00
$0.00
$0.00
Electrical %:
$0.00
$0.00
Mechanical %:
$0.00
Plumbing %:
$0.00
TOTAL FEE: $2,016.00
ZONING APPROVAL:
Architect
Address:
Phone:
State Lic:
Engineer:
AOANON VIRGILIO
As,a
Address:
3951 MEDFORD ST
C.=
LOS ANGELES CA 90063
e.q...:.°':
Phone:
State Lie:C-036079-•�
Designer:
FOTH BEN
Address:
6225 N 24TH ST STE 250
PHOENIX, AZ 85016
Phone:
602-381-8680
Special Conditions: UP2017-030 (PA2017-215)
Planning Department -
Plan check Fee
Fair Share :
SJH Trans :
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$160.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $2,016.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: _ 1PPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed nextto the applicable item(s)
'Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
:he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do r o all of rt w portions of the work, and the structure is not intended r offered for sale (Section d7044,
the
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
Im roved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑1 am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal)
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 RRf Div1 io 3 of the Business and Pro. es s e d m i nse is in full force
and effect. License Class License No Date -C / Contractor Signet,
WORKERS' COMPENSATION DECLARATION
TO
COSTWARNIOP COMPENSATION, TTOISECURE WORKERS' COMPENSATION ON, DAMAGES AS PROVIDED FOR IN SECTION COVERAGE BIOF THE LABOR AND
EH INTEREST, SUBJECT
ANDN EMPLOEY'SYER
FEES.
RIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE OUSAND DOLLARS 15100,50a), IN ADDITION TO THE
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued. Policy No.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
Phone #
Na a of Agent
I certify that, in the performanc the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre
at, if 1 should become su 'e o t e 'co nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant I
DECLARATION REGA DIN O ION LEN ING AGENCY
I hereby affirm under penal of perj that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordi state laws relating to building construction.
I authorize representatives of this city or county t e r ide I party for inspection purposes. [d �� D 17
cinnnhirA of Prnnertv Owner or Authorized Agen Print Property Owner's or Authorized Agent's Nam �/
ACTION
CANCELLED
EXTENDED
DATE BY LA ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
FGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
TO
PERMIT FINAL 1 �SIG�NA
TIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF Z- 4-�1 /IALITION
OCCUPANCYISSUED